America's healthiest and least healthy states

John Tlumacki  The Boston Globe

The 28th annual report from the United Health Foundation and American Public Health Association examined 35 measures for policy, clinical care, behaviors, community and environment, and outcomes to measure the progress of individual states and identify emerging health trends. Last year's top-ranked state, Hawaii, moved down to No. 2 this year.

Last year, the Bay State was ranked second behind Hawaii, which had held the No. 1 spot for the past five years.

In terms of prevalence, data from the Substance Abuse and Mental Health Services Administration show that 19.55 percent of Colorado residents are living with some kind of mental illness, the third-highest rate in the country.

The report also noted that the number of adults in MA who smoke dropped from 18.2 percent of all adults to 13.6 percent over the last five years.

Despite the good news, Colorado saw a 10 percent increase in adult obesity according to the report. Oklahoma also had improvements in obesity rates, the number of people who are physically active, and drug deaths, but still ranks well below the national average.

Behind Massachusetts came Hawaii in second place, followed my Vermont, Utah and CT in that order for the top five healthiest states. This year, two other New England states, Vermont and CT, were ranked in the top five healthiest states, coming in at No. 3 and No. 5, respectively.

Here's a map, with the healthiest states in light blue and the least healthy in dark blue.

The nation's premature death rate - the number of years of potential life lost before age 75 - increased 3% since 2015.

West Virginia, on the other hand, crept into the worst five after replacing Oklahoma, which now ranks as No. 43.

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